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The androgen receptor (AR) belongs to the steroid hormone group nuclear receptor family with the estrogen, progesterone, glucocorticoid and mineralcorticoid receptor. | The androgen receptor (AR) belongs to the steroid hormone group nuclear receptor family with the estrogen, progesterone, glucocorticoid and mineralcorticoid receptor. | ||
AR mediate the actions of testosterone (T) and a more biologically active form, 5α-dihydrotestosterone (DHT), which are the male sex hormones required for development of the male reproductive system and secondary sexual characteristics. This receptor, located on the X chromosome, is expressed in a diverse range of tissues, because they have significant biological actions in many systems <ref>PMID: 27057074</ref>. There are other androgens that bind with much less potency than T and DHT such as androstenedione, androstenediol, and dehydroepiandrosterone (DHEA) <ref>PMID: 36376977 </ref>. | AR mediate the actions of testosterone (T) and a more biologically active form, 5α-dihydrotestosterone (DHT), which are the male sex hormones required for development of the male reproductive system and secondary sexual characteristics. This receptor, located on the X chromosome, is expressed in a diverse range of tissues, because they have significant biological actions in many systems <ref name="Bench to Bedside">PMID: 27057074</ref>. There are other androgens that bind with much less potency than T and DHT such as androstenedione, androstenediol, and dehydroepiandrosterone (DHEA) <ref>PMID: 36376977 </ref>. | ||
=Structure= | =Structure= | ||
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===DNA-Binding Domain (DBD) (residues 555-623)=== | ===DNA-Binding Domain (DBD) (residues 555-623)=== | ||
DBD is a cysteine-rich region that is the most highly conserved one of the steroid hormone nuclear receptor family <ref>PMID: 24909511 </ref>, but it has been shown that binding of selective androgen response elements (AREs) allow the specific activation functions of the AR. They facilitate direct DNA binding of the AR to the promoter and enhancer regions of AR-regulated genes, thereby allowing the activation functions of the N-terminal and ligand binding domains to stimulate or repress the transcription of these genes <ref | DBD is a cysteine-rich region that is the most highly conserved one of the steroid hormone nuclear receptor family <ref>PMID: 24909511 </ref>, but it has been shown that binding of selective androgen response elements (AREs) allow the specific activation functions of the AR. They facilitate direct DNA binding of the AR to the promoter and enhancer regions of AR-regulated genes, thereby allowing the activation functions of the N-terminal and ligand binding domains to stimulate or repress the transcription of these genes <ref name="Bench to Bedside" />. | ||
AR is a dimer, like other steroid receptors, that binds to promoter DNA response elements consisting of two equal, common hexameric half-sites, separated by a 3 base-pair spacer <ref>PMID: 24909511 </ref>'''IMAGEN DEL DÍMERO''', and this domain is critical for AR function, because it plays a role in dimerization and binding of dimerized AR to select motifs on target DNA <ref>PMID: 33076388</ref>. | AR is a dimer, like other steroid receptors, that binds to promoter DNA response elements consisting of two equal, common hexameric half-sites, separated by a 3 base-pair spacer <ref>PMID: 24909511 </ref>'''IMAGEN DEL DÍMERO''', and this domain is critical for AR function, because it plays a role in dimerization and binding of dimerized AR to select motifs on target DNA <ref>PMID: 33076388</ref>. | ||
Each DBD monomer has a core composed of two zinc finger motifs, which consists of four cysteine residues that coordinate a zinc ion <ref>PMID: 24909511 </ref>. The first is closer to the NTD which has the P box, which is identical in all the family, and controls the DNA binding specificity at AREs, located in the regulatory regions of genes <ref>PMID: 33076388</ref>. | Each DBD monomer has a core composed of two zinc finger motifs, which consists of four cysteine residues that coordinate a zinc ion <ref>PMID: 24909511 </ref>. The first is closer to the NTD which has the P box, which is identical in all the family, and controls the DNA binding specificity at AREs, located in the regulatory regions of genes <ref>PMID: 33076388</ref>. | ||
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Two transcriptional activation functions have been identified: | Two transcriptional activation functions have been identified: | ||
-The ligand-independent AF-1 (residues 142-485): located in the NTD is constitutively active. It is the main region responsible for mediating AR transcription. This region contains two separable transcription activation units that are indispensable for full activity of the AR <ref>PMID: 24909511 </ref>. | -The ligand-independent AF-1 (residues 142-485): located in the NTD is constitutively active. It is the main region responsible for mediating AR transcription. This region contains two separable transcription activation units that are indispensable for full activity of the AR <ref>PMID: 24909511 </ref>. | ||
-The ligand-dependent AF-2: is located in the ligand binding domain <ref> | -The ligand-dependent AF-2: is located in the ligand binding domain <ref name="Bench to Bedside" />. <scene name='85/857155/H12_androgen_receptor/1'>H12</scene> forms the core of this region and acts as a lid to close the LBP upon agonist binding <ref>PMID: 24909511 </ref>. It is important for forming the coregulator bindings site as well as mediating direct interactions between the N-terminal and ligand binding domains. Key differences in the contribution of specific conserved residues in the AF-2 core domain between the AR and other steroid hormone nuclear receptors have been identified, it would explain the differences in the structure and the function, as well as the coregulatory proteins they interact with <ref name="Bench to Bedside" />. | ||
=Mechanism of Action= | =Mechanism of Action= | ||
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In the absence of ligand, the AR is in the cytoplasm and associated with heat-shock and other chaperone proteins. Testosterone is converted into DHT by 5α-reductase, with higher affinity to bind AR. When DHT binds AR, it displaces heat shock proteins, drives the interaction between the N and C terminal, and binds importin-α to translocate the ligand/AR complex into the nucleus. | In the absence of ligand, the AR is in the cytoplasm and associated with heat-shock and other chaperone proteins. Testosterone is converted into DHT by 5α-reductase, with higher affinity to bind AR. When DHT binds AR, it displaces heat shock proteins, drives the interaction between the N and C terminal, and binds importin-α to translocate the ligand/AR complex into the nucleus. | ||
In the nucleus, the receptor dimerizes and binds to AREs in the promoter regions of target genes. At the promoter, the AR is able to recruit members of the basal transcription machinery in addition to other coregulators to facilitate transcription <ref>PMID: 24909511 </ref>. AR activity is not only regulated by ligand binding and DNA binding but also by intramolecular interactions between functional domains, by homodimerization and by interactions with cofactors (4). | In the nucleus, the receptor dimerizes and binds to AREs in the promoter regions of target genes. At the promoter, the AR is able to recruit members of the basal transcription machinery in addition to other coregulators to facilitate transcription <ref>PMID: 24909511 </ref>. AR activity is not only regulated by ligand binding and DNA binding but also by intramolecular interactions between functional domains, by homodimerization and by interactions with cofactors (4). | ||
This leads to the initiation of transcription, cell proliferation and survival, and negative feedback to inactivate AR transcription <ref | This leads to the initiation of transcription, cell proliferation and survival, and negative feedback to inactivate AR transcription <ref name="Bench to Bedside" />. | ||
'''[[Image:Example.jpg]]''' | '''[[Image:Example.jpg]]''' | ||
===Non-DNA Binding dependent actions of the AR=== | ===Non-DNA Binding dependent actions of the AR=== | ||
It has been shown that the androgen/AR complex activates 2nd messenger pathways including ERK, Akt and MAPK and that it interferes with several key proteins including forkhead box protein A1 (FOXA1), PI3K and receptor tyrosine kinases, including ERBB2 and ERBB3. These effects occur within seconds to minutes of androgen treatment <ref | It has been shown that the androgen/AR complex activates 2nd messenger pathways including ERK, Akt and MAPK and that it interferes with several key proteins including forkhead box protein A1 (FOXA1), PI3K and receptor tyrosine kinases, including ERBB2 and ERBB3. These effects occur within seconds to minutes of androgen treatment <ref name="Bench to Bedside" /><ref>PMID: 28301631</ref>. | ||
There are studies that suggest that some of the non-DNA binding-dependent actions of androgens are mediated via the activation of membrane-bound protein receptors. For instance, the iron-regulated transporter-like protein 9 (ZIP9) mediates the androgen-induced apoptosis of ovarian follicle cells, prostate and breast cancer cells <ref | There are studies that suggest that some of the non-DNA binding-dependent actions of androgens are mediated via the activation of membrane-bound protein receptors. For instance, the iron-regulated transporter-like protein 9 (ZIP9) mediates the androgen-induced apoptosis of ovarian follicle cells, prostate and breast cancer cells <ref name="Bench to Bedside" />. | ||
Although the physiological significance of the non-DNA binding-dependent actions of the AR is not yet fully defined, it has been proposed that they may oppose the DNA binding-dependent actions and serve as a brake to fine-tune androgen action in target tissues <ref | Although the physiological significance of the non-DNA binding-dependent actions of the AR is not yet fully defined, it has been proposed that they may oppose the DNA binding-dependent actions and serve as a brake to fine-tune androgen action in target tissues <ref name="Bench to Bedside" />. | ||
===Ligand-Independent actions of the AR=== | ===Ligand-Independent actions of the AR=== | ||
It has been demonstrated that AR has the potential to be activated through ligand-independent mechanisms by a number of different growth factors, via phosphorylation of the AR or following interaction with co-activators <ref | It has been demonstrated that AR has the potential to be activated through ligand-independent mechanisms by a number of different growth factors, via phosphorylation of the AR or following interaction with co-activators <ref name="Bench to Bedside" />. | ||
=Function= | =Function= | ||
AR is expressed in many tissues, so androgens have been documented to have significant biological actions in bone, muscle, prostate, ovaries, endometrium, bladder, skin, cardiovascular, immune, neural and hematopoietic systems <ref | AR is expressed in many tissues, so androgens have been documented to have significant biological actions in bone, muscle, prostate, ovaries, endometrium, bladder, skin, cardiovascular, immune, neural and hematopoietic systems <ref name="Bench to Bedside" /><ref>PMID: 29481861</ref>. | ||
Androgens have a role in behavior and cognition in neuronal cells in the CNS (III). It has also been shown they regulate hair growth, sebum production and secretion, wound healing and cutaneous barrier formation in the skin <ref>PMID: 28912032</ref>. | Androgens have a role in behavior and cognition in neuronal cells in the CNS (III). It has also been shown they regulate hair growth, sebum production and secretion, wound healing and cutaneous barrier formation in the skin <ref>PMID: 28912032</ref>. | ||
The absence of AR has an impact on the fertility in granulosa cells in the ovary and it also affects the myometrial cell growth in uterine glandular epithelial cells in the endometrium <ref>PMID: 29481861</ref>. | The absence of AR has an impact on the fertility in granulosa cells in the ovary and it also affects the myometrial cell growth in uterine glandular epithelial cells in the endometrium <ref>PMID: 29481861</ref>. | ||
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One example of this is apalutamide, a non-steroidal second generation antiandrogen <ref>PMID: 24639562</ref><ref>PMID: 30209899</ref> approved for use in non metastatic castration resistant prostate cancer patients by the FDA in 2018 <ref>PMID: 30209899</ref>. See also the SPARTAN study <ref>PMID: 29420164</ref>: [https://clinicaltrials.gov/ct2/show/NCT01946204]. This new drug has promising uses but it is still associated with side effects like an increased level of falls in patients with the treatment vs placebo <ref>PMID: 36209239</ref>. | One example of this is apalutamide, a non-steroidal second generation antiandrogen <ref>PMID: 24639562</ref><ref>PMID: 30209899</ref> approved for use in non metastatic castration resistant prostate cancer patients by the FDA in 2018 <ref>PMID: 30209899</ref>. See also the SPARTAN study <ref>PMID: 29420164</ref>: [https://clinicaltrials.gov/ct2/show/NCT01946204]. This new drug has promising uses but it is still associated with side effects like an increased level of falls in patients with the treatment vs placebo <ref>PMID: 36209239</ref>. | ||
=References= | |||
<references /> | |||